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Dr. Girish M K

General Physician, Bangalore

200 at clinic
Dr. Girish M K General Physician, Bangalore
200 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Girish M K
Dr. Girish M K is a trusted General Physician in Nagarbhavi, Bangalore. You can visit him at Unity Life Life Hospital (India) Pvt.Ltd in Nagarbhavi, Bangalore. Book an appointment online with Dr. Girish M K and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified General Physicians in India. You will find General Physicians with more than 32 years of experience on Lybrate.com. You can find General Physicians online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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No.193 Ekadantha, 80 Feet Road 2nd Block 2nd Stage, Nagarabhavi Layout. Landmark:- Near Bda ComplexBangalore Get Directions
200 at clinic
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MD
Sexologist, Srinagar
Hypogonadism and Opioids
Men who take long-acting opioids for chronic pain appear to be at greater risk of developing low testosterone than men taking short-acting opioids, American researchers have found.
Opioids are pain relievers. Commonly prescribed opioids include hydrocodone, oxycodone, morphine, and codeine.
Opioids are classified as long-acting or short-acting. Long-acting opioids generally provide relief for at least 8 hours. Short-acting opioids release medicine more quickly and relieve pain for less than six hours.
Impact Of Opioids On Testestosterone Levels
The retrospective study focused on 81 men between the ages of 26 and 79 who had been taking an opioid for at least three months. None of the men had been diagnosed with low testosterone before. All of the men were being treated for chronic pain conditions (such as low back pain, chronic headaches, and rheumatoid arthritis) at Kaiser Permanente’s Santa Rosa Medical Center in California.
The hormone testosterone plays a large role in a man’s sex drive. But it is also involved with muscle mass, bone density, and mood. Low testosterone can lead to problemsin all of these areas.
Normal testosterone levels are typically between 300 and 800 nanograms per deciliter (ng/dL). For this study, men were considered to have hypogonadism (low testosterone) if their total testosterone levels were less than or equal to 250 ng/dL. All levels were measured before 10 a.m.
Overall, 56.8% of the men were hypogonadal. Rates varied depending on opioid length of action, however. Of the men taking long-acting opioids, 74% had low testosterone. Thirty-four percent of the men taking short-acting opioids were hypogonadal.
After adjusting for daily dosage and body mass index, the researchers found that the risk of developing low testosterone was 4.78 times greater for men taking long-term opioids compared to those who take the short-acting variety.
No association was found between dose and an increased risk of low testosterone.
“We need to know how we can prescribe these very useful medications in a way that brings the greatest benefits to our patients, without introducing additional risks,” said researcher Dr. Andrea Rubinstein in a press release. Dr. Rubinstein is from the Departments of Chronic Pain and Anesthesiology at Kaiser Permanente Santa Rosa Medical Center.
“These medications work well for short-term, acute pain,” Dr. Rubinstein added. “It has long been extrapolated that they can also be used safely long-term to control chronic pain. We are now finding that the long-term use of opioids may have important unintended health consequences.”
The study was published online ahead of print in January in The Clinical Journal of Pain.
7 people found this helpful

My husband have itching on his body from last one month Dr. suggest him scabigard. But its not work. please suggest some medicine.

BHMS, Dietitian/ Nutritionist
Homeopath, Pune
My husband have itching on his body from last one month Dr. suggest him scabigard. But its not work. please suggest s...
He can take sulphur 30 c four pills daily in morning. For a month. Also use sulphur ointment. Revert back.
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I am mukesh kumar singh I am not able to sleep since last two nights kindly help me out because of this I am not able to study.

BHMS
Homeopath, Chennai
I am mukesh kumar singh I am not able to sleep since last two nights kindly help me out because of this I am not able...
Take nux vomica 200 pills, every 2 hrly 5-5 pills. take for 2 days have good sleep & take the above medc, u ll be fine soon Thankks
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I am 22 year old. I am doing masterbetting from 4 yrs. Once in a fortnight But right now I am very depress because of study. I am doing it nw twice in a day I know it not good for health. But can not control. In night time my hand goes automatically towards penis. And in day time if I see some sexy or beautiful girl penis size enlarges. But I do not why this is happening. I am not thinking that lets have sex with her. Why this is happening with me Pls help me.

MBBS
General Physician, Cuttack
I am 22 year old. I am doing masterbetting from 4 yrs. Once in a fortnight
But right now I am very depress because of...
1. Stay busy and focused by engaging in activities like playing games/sports, learning music/painting etc. 2. Find new hobby like cooking, gardening, writing, public speaking 3. Eat healthy diet 4. Volunteer your time by doing social work like tutoring needy children/ working at shelter home and rendering free service, raising money for a good cause 5. Avoid loneliness, socialise with friends/relatives 6. Stop watching porn in computer/moble 7. Develop will power, determination to stop practicing 8. Don't have guilty consciousness since it is normal and a healthy way of relieving sexual tension if done in moderation (1-2 times/week) 9. Get adequate sleep (7-8 hours daily) 10. Take plenty of green leafy vegetables, fruits and have balanced diet. Avoid oily/spicy/fried/junk food. Try to have vegetarian food. Observe fasting for 1-2 days in a week 11. Avoid alcohol/smoking 12. Drink plenty of water (8-10 glass daily) 11. Go for regular aerobic exercise for one hour daily like brisk walking/jogging/running/cycling/swiing 12. Do yoga, pranayam, meditation to calm your mind, control your emotion and relieve stress 13. Consult a sex therapist/ counselor for further advice.
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I am suffering from fever and I also feel headache and shivering what should I do.

BHMS
Homeopath, Raebareli
I am suffering from fever and I also feel headache and shivering what should I do.
Please take Rhus tox 200 - four times daily 4 pills each time Stay warm Take rest Take Veg/non-veg soup thrice daily for few days.
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Respected Doctors:- Question for my daughter:-14 Year old girl (Height 156 cm Weight 46Kg). Every day morning, she is getting sneezing continuously for around 8-10 times within 15 minutes. Also one of the eye gets reddish. When we asked our local doctor, doctor told both sneezing and eye reddishness are only due to an allergy. Doctor told to put a eye drop OLOPAT OD and another eye drop HICool (one after the other after 10 minutes) for one month for curing the redness. For the sneezing trouble, doctor prescribed a tablet Mont air for 10 days. We have put eye drops for 1 month and she has taken the tablet Mont air for 10 days. But still she is getting eye reddishness, even after one month now. Sometimes the reddishness disappear without any medicine, after few hours. Since this issue is continuing, I would like to know (1) What would be possible cause for this issue. (2) Do we need to really worry and take care about this immediately? What is the name for this kind of allergy?(3) Could you please kindly let me know any eye tests to be taken to identify the real issue. Thanks a lot for your kind suggestion/help.

MBBS
General Physician, Delhi
Your daughter is suffering from allergy. Allergy may be due to change in weather, dust, pollution, etc. Best solution is use some kind of oil drops in her nose daily. One drop both nostrils. This remedy will help only after 1mth. Meanwhile ask her to take four black pepper pills with 1 teaspoon of sugar or honey twice a day.
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Red patch below ring of penis. Minor etching and burning if water is applied. Please let me know the reason, is this skin related problem or sexual problem. Which doctor needs to be consulted?

BHMS
Homeopath, Sindhudurg
Red patch below ring of penis. Minor etching and burning if water is applied. Please let me know the reason, is this ...
Hi. Itching may be caused by skin irritation, sexually transmitted diseases, and allergies. In many cases, genital itching that is caused by irritation will clear up on its own if the irritation is removed. Other causes of itching may require more intensive treatment.
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What is the main causes of dengue fever and common cold How can we prevent these diseases?

MBBS
General Physician, Mumbai
What is the main causes of dengue fever and common cold How can we prevent these diseases?
Due to weather changes one can get cold and dengue fever is caused by mosquitoes who breed in stagnant fresh water and so see to it that there is no stagnation of water for more than seven days.
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Hi, I am 26 years old, once anyone penetrates penis into her partner, what is standard time for sex? I am relating this question about premature ejaculation.

PDDM, MHA, MBBS
General Physician, Nashik
Hi, I am 26 years old, once anyone penetrates penis into her partner, what is standard time for sex? I am relating th...
First of all Premature Ejaculation (PME) defined when male partner ejaculates early before the female partner reaches to orgasm. There is no absolute time by which we can diagnose PME. It is relative term and female partner is the best judge.
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I am regularly facing digestion problem. Whenever I goes for toilet I am facing problem of hard stool. I am having a normal diet as my all family usually have in a day. But only I am getting a digestion problem. Which type of doctor should I concern please help or prescribe some medicines for this problem.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am regularly facing digestion problem. Whenever I goes for toilet I am facing problem of hard stool. I am having a ...
Hi Make a powdered preparation of dried ginger root, long pepper, black pepper, and black salt in equal quantities. Have 1 teaspoon of this mixture at bedtime with lukewarm water and 2 to 3 teaspoons of psyllium husk. Take pranacharya virechan churna or triphala churna 1 tsf in warm water before sleep at night. Take chitrakadi vati 1- tab after lunch and dinner. Take 5-7 munakkas with milk. Eat papaya in fruits .avoid tea. Coffee.spicy food. Fermented food. Junk food. Avoid alcohol consumption.
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I used to sneeze a large number of times continuously if some dust entered in nose.

MBBS
General Physician, Mumbai
I used to sneeze a large number of times continuously if some dust entered in nose.
Whenever there is mucous discharge from the nostrils I will suggest you to take one tablet of cetrizine at night and Avoid any triggering factor, take folic acid regularly, eat a healthy diet, always be stress free, exercise regularly.
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Hi doctor Since last 3 months I am facing itching problem I visit to skin specialist taking treatment. But not effect So please Tell me natural treatment of scabies.

BHMS
Homeopath, Faridabad
Hi doctor
Since last 3 months I am facing itching problem
I visit to skin specialist taking treatment. But not effect...
Hello The simplest way to soothe scabies itching and other symptoms is to soak the affected area in cool water for 10 minutes, pat dry your skin with a clean towel and then apply some calamine lotion, which you can buy from the market without a prescription.
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What is the symptoms of dengue, If a man gets vomiting 5 times in a day. Is it dengue?

BAMS
Ayurveda, Bangalore
What is the symptoms of dengue, If a man gets vomiting 5 times in a day. Is it dengue?
Hi, Symptoms of dengue are high grade fever, headache, bodyache, retro orbital pain, skin rashes, vomitting, abdominal pain, fatigue and restlessness. If a person vomits 5 times in a day, it may or may not be Dengue fever. It is confirmed by blood test called Dengue screening and CBC.
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I am quite getting used to masturbate daily, how to quiet it? And what are the consequences of masturbation?

BHMS
Homeopath, Howrah
I am quite getting used to masturbate daily, how to quiet it?
And what are the consequences of masturbation?
Try to divert your mind and indulge it in productive and creative way. Gate interests in sports or swimming which will have more physical activity, try to be occupied. Stop watching porn or any sex related things. Eat healthy food, sleep on time. Weakness after masturbation is due to loss of energy while masturbating. It's all about will, if you wish to control you can.
3 people found this helpful
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I m urinating frequently and I feel the burning sensation after urination wat should I do?

PGDHHM, MBBS
General Physician, Delhi
I m urinating frequently and I feel the burning sensation after urination wat should I do?
U seem to be having urinary tract infection. Drink plenty of liquids. Take alkaliser 2tsf in water twice daily. Get ur urine routine test done. If symptoms persists, u may need antibiotics too. Hope I answered your query
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My wife having sugar type1 Since30 years. She has to take daily insulin 2times human actrpid Some times she getting into coma after insulin taken, food not taking In time. After 7-8 hours later she becoming normal, if glucose water Pouring into mouth. I request any solution intimate me

MBBS, Diploma in Diabetology, DDM, CCACCD
Diabetologist, Mumbai
She is having type 1 diabetes for which insulin and food both should be taken at same time daily and regularly. If she becomes unconscious after taking insulin, kindly take her to the nearest hospital to get immediate medical treatment and dont wait for 7-8 hours at home. It can be fatal for her life.
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I have erection problem and penis is curve to left side ,semen quantity is also less.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Faridabad
I have erection problem and penis is curve to left side ,semen quantity is also less.
May be over masturbation is the reason of your problem erection problems can have many causes. These include: physicalproblems, such as injury to nerves or loss of blood supply to the penis. Other health problems, such as diabetes, high blood pressure, anxiety, and depression. Taking by herbal remedies you can cure your all complication.
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I'm 33 years male from delhi one year back I had done deviated nasal septum surgery. I was suffering left side nose blocked problem after surgery my left nose is open but during sleep one side nose is closed or left side or is right side and bcoz of that I can't sleep deeply. I had use all nasal spray for short time and all anti histamine but I didn't got any benefit. I had talk to ENT Dr. about nasal septoplasty but they said to me is not hundred percent solution of my problem bcoz mostly nasal surgery are bound again. I am specially feel that problem in cold season or in air conditioner in warm season. I m very much desperate to my condition. L am before sleep always carry a water bottle near to my bed with me for dry mouth. Bcuz one side nose blocked I breathing through mouth and I wake-up between sleep and drinking water 4 to 5 times. That's happening with me since 5 years. Plzz suggest me what I do next for my nasal congestion during sleep?

MBBS, M.S. (ENT)
Ear-Nose-Throat (ENT) Specialist, Pune
Hi, thank you for writing in. 1. These symptoms are due to nasal turbinate hypertrophy. 2. Since you have taken medical therapy and had a septoplasty, get a plain ct pns (para nasal sinuses) done and share the images. 3. At the same sitting get a plain ct pns with 1 mm coronal, axial and sagittal views pre and post decongestion with nasal decongestant drops (0.1 % xylometazoline). After the first scan use 5-8 drops of otrivin nasal drops in both the nostrils. Wait 15 minutes by the clock and re - scan. Print and compare the images with each set and with any change in your symptoms (improvement in nasal patency). 4. For hypertrophy of the nasal turbinates, radiofrequency or coblation works well. Thus should reduce your symptoms. Regards.
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